JACK TAGGART BROWN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

JACK TAGGART

Last Name

BROWN

Suffix

DDS

Business Name

JACK TAGGART BROWN DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005